ABSTRACT
La perforación esofágica es la más letal de todas las perforaciones del aparato digestivo. Se presenta el caso de un varón de 65 años que acude a urgencias por un cuadro clínico de dolor torácico, vómitos e hipotensión. Se le realizó tomografía computarizada por sospecha de síndrome aórtico agudo, con hallazgos sugerentes de perforación esofágica. El síndrome de Boerhaave consiste en la rotura longitudinal del esófago sobre una pared macroscópicamente sana. Su tratamiento definitivo se realiza con cirugía durante las primeras 24 horas. El síndrome de Boerhaave debe considerarse como complicación posible en los pacientes con dolor epigástrico y vómitos, ya que es una emergencia quirúrgica con alta morbimortalidad.Esophageal perforation is the most lethal of all perforations of the digestive system. 65-year-old male who goes to the emergency department due to clinical symptoms of chest pain, vomiting and hypotension, who underwent CT scan for suspected acute aortic syndrome, with suggestive findings of esophageal perforation. Boerhaave syndrome consists of the longitudinal rupture of the esophagus on a macroscopically healthy wall. Its definitive treatment is performed with surgery during the first 24 hours. Boerhaave syndrome should be considered as a possible complication in patients with epigastric pain and vomiting, as it is a surgical emergency with high morbidity and mortality.
Subject(s)
Pain , Tomography, X-Ray Computed , Aged , Humans , MaleABSTRACT
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Subject(s)
Humans , Male , Aged, 80 and over , Intestinal Fistula/diagnostic imaging , Intestinal Fistula/complications , Gastrointestinal Hemorrhage/etiology , Aortic Diseases/complications , Aortic Diseases/diagnostic imaging , Computed Tomography AngiographyABSTRACT
We present the case of a 80 years-old male patient who underwent a CT angiogram due to hematemesis and hypovolemic shock. An upper gastrointestinal endoscopy revealed a large clot that closed the antrum and abundant red blood in the pyloric-antrum region. Sclerosis was performed blindly and the bleeding origin was not identified and the success of the sclerosis could not be evaluated. A primary aorta-duodenal fistula was observed by CT angiography, which was treated with an endograft and femoro-femoral bypass. The patient was discharged 14 days after admission.
Subject(s)
Aortic Diseases , Duodenal Diseases , Intestinal Fistula , Vascular Fistula , Aged, 80 and over , Aortic Diseases/complications , Aortic Diseases/diagnostic imaging , Aortic Diseases/surgery , Duodenal Diseases/complications , Duodenal Diseases/diagnostic imaging , Duodenal Diseases/surgery , Gastrointestinal Hemorrhage/diagnostic imaging , Gastrointestinal Hemorrhage/etiology , Humans , Intestinal Fistula/complications , Intestinal Fistula/diagnostic imaging , Intestinal Fistula/surgery , Male , Vascular Fistula/complications , Vascular Fistula/diagnostic imaging , Vascular Fistula/surgeryABSTRACT
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Subject(s)
Humans , Female , Middle Aged , Cholangitis/complications , Cholangitis/microbiology , Gastrointestinal Hemorrhage , Aneurysm, False/etiology , Aneurysm, False/diagnostic imaging , Hepatic Artery/diagnostic imaging , Hepatic Artery/pathology , Tomography, X-Ray Computed , AngiographyABSTRACT
We read with interest the article by Guido Villa-Gómez, Manuel Alejandro Mahler and Dante Manazzoni "A new case of pseudoaneurysm of the right hepatic artery secondary to laparoscopic cholecystectomy". A 57-year-old cholecystectomized female was admitted due to abdominal pain with an analytical pattern of cholestasis and liver enzyme alterations, with cholangitis that progressed to septic shock of a biliary origin with gradual anemia and hypotension.
Subject(s)
Aneurysm, False , Cholangitis , Cholecystectomy, Laparoscopic , Hemobilia , Aneurysm, False/complications , Aneurysm, False/diagnostic imaging , Cholangitis/etiology , Cholangitis/surgery , Female , Hemobilia/diagnostic imaging , Hemobilia/etiology , Hepatic Artery/diagnostic imaging , Humans , Middle AgedABSTRACT
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Subject(s)
Humans , Female , Adult , Liver Neoplasms/diagnostic imaging , Angiomyolipoma/diagnostic imaging , Magnetic Resonance ImagingABSTRACT
In relation to the article published by Ortiz S et al. (1), we have recently seen a 37-year-old female who presented to the Emergency Department with pain in right hypochondrium and a mild increase in transaminase levels. An ultrasound was performed that showed a large 13-cm tumor in the right hepatic lobe, which was heterogeneous with hyperechogenic and anechoic areas.
Subject(s)
Angiomyolipoma/diagnostic imaging , Liver Neoplasms/diagnostic imaging , Adult , Angiomyolipoma/pathology , Female , Humans , Liver Neoplasms/pathology , Magnetic Resonance ImagingABSTRACT
This article describes and illustrates the case of an adult patient with clinical symptoms of constitutional syndrome, postprandial discomfort and a mass in the left lateral abdominal region caused by a gastric intussusception with a fundal adenoma as the head of the invagination. The intussusception was diagnosed by MRI (magnetic resonance imaging).
Subject(s)
Intussusception/complications , Stomach Diseases/complications , Aged , Female , Humans , Intussusception/diagnostic imaging , Magnetic Resonance Imaging , Stomach Diseases/diagnostic imaging , Syndrome , Tomography, X-Ray ComputedABSTRACT
No disponible